| NPI | 1184770349 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101243778) |
| Additional Taxonomies | 207RI0011X Internal Medicine, Interventional Cardiology (Licence: VA 0101243778) |
| 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NJ 25MA07753300) | |
| 207R00000X Internal Medicine (Licence: NJ 25MA07753300) | |
| Enumeration Date | 2007-01-28 |
| Last Update Date | 2026-01-02 |